Compassionate Systems - Youth Introduction Workshop in Denmark, November 1-3, 2019

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Please fill out the following registration form. Once form is submitted, you will receive an invoice for the tuition of $75.

Email *

First Name *

Last Name *

Title/Position name *

Organization / Interest field *

City, State, Zip *

Country *

Cell phone number *

Dietary restrictions *

How did you hear about the program? *

Photo Release Permission *

I hereby grant permission to the Center for Systems Awareness to use photographs and/or video of me taken on during the Workshop in publications, news releases,online, and in other communications related to the mission of the Center for Systems Awareness.

I have read and agreed with the policy.

Required

Cancellations and Substitutions Policy *

All cancellations must be received in writing. If cancelled within 2 weeks of workshop, then the cancellation fee is 50% of tuition. Center for Systems Awareness will not be responsible for any loss incurred by card holder. Should Center for Systems Awareness need to cancel the program, participants will receive a refund of their tuition, but no reimbursement for booked flights or other travel or program-related expenses.

I have read and agreed with the policy.

Required

If you need a scholarship, please indicate it here.

A copy of your responses will be emailed to the address you provided.

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